Substance Use at Work: A Better Framework for Prevention, Support, and Recovery

This session explores how COVID-era stress, isolation, and disrupted routines amplified substance use risks – and why workplaces can’t afford to treat impairment as the first and only intervention point. Mike introduces a more accurate lens: substances are often an attempted solution to pain (emotional or physical), not a moral failing – shifting the conversation from shame and “willpower” to needs, nervous system regulation, and quality of life. Participants leave with a spectrum-based framework, concrete “do’s and don’ts” for conversations, and evidence-informed resources (including CRAFT) that support earlier, more effective help-seeking.

A core challenge in workplace and public conversations is the binary “addict/not addict” mindset, paired with myths like “rock bottom” and one-size-fits-all treatment – approaches that often increase shame and delay support. Mike brought nuance by teaching a spectrum model of substance use, emphasizing quality of life over labels, and offering a practical reframe: problematic use is often a short-term coping strategy that backfires over time. The solution centered on actionable, relationship-based skills (connection before correction), guidance for safer timing and language, and evidence-informed family support pathways (including CRAFT) that can increase engagement in care without escalation or coercion.